Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Dialysis PCT Scope of Practice in AZ

    Tish88 replied to SkinnyLatte's topic in Dialysis, Renal, Urology

    You asked "if you are required to be an RN in order to be a PCT". These are 2 different positions. You would not be an RN and then become a PCT. You could be a PCT first and then go school to become...

  2. ANNA 43rd National Symposium

    Tish88 posted a topic in Dialysis, Renal, Urology

    I was wondering if anyone is attending this years ANNA National Symposium in

  3. ANNA 43rd National Symposium

    Tish88 replied to Tish88's topic in Dialysis, Renal, Urology

    I have gone several times. I am an officer for our local chapter, so I will be attending the VLW also. The program looks interesting this year, I am sure that I will learn something! CMS Pay per...

  4. Night Time Nocturnal Dialysis

    Tish88 replied to NDXUFan's topic in Dialysis, Renal, Urology

    In addition to doing home hemo, there are many patients out there that should be doing PD! I always ask, why are these "young" patients receiving hemo?- they should save their veins for whenever they...

  5. Needle Dislodgement

    Tish88 replied to NeedleTape's topic in Dialysis, Renal, Urology

    @ anurseadvocate - what kind of machines do you use? All of the dialysis machines that I have ever worked with only go up to 38 degrees celcius which is safe. The ranges goes from 35-38 degrees....

  6. Needle Dislodgement

    Tish88 replied to NeedleTape's topic in Dialysis, Renal, Urology

    I have patients who wear long sleeve sweatshirts to the clinic and they have an area that is velcroed down when needles aren't in and they unvelcro the area to allow needles to be placed and they can...

  7. Needle Dislodgement

    Tish88 replied to NeedleTape's topic in Dialysis, Renal, Urology

    This was an interesting article done: "ASN 2008 abstract –Estimated 414 episodes of venous dislodgement in U.S. dialysis population of 350,000. They estimated mortality between 10-33%, meaning the...

  8. Hemodialysis REDSENSE MONITORS

    Tish88 replied to patchoulinurse's topic in Dialysis, Renal, Urology

    My clinic did a 1 month trial study on the Redsense back in 2007, prior to them being FDA approved. They never alarmed! We even tried making them alarm by squirting blood into the sensor and it still...

  9. DaVita(Alabama)-looking for Staff RN New Grad will train

    Tish88 replied to kaeanna's topic in Dialysis, Renal, Urology

    CMS Conditions for Coverage ESRD final rule: 4. Subpart D (Administration) a. Personnel Qualifications (Proposed 494.140) 494.140(b)(3)(ii) "proposed new qualifications for the charge nurse, who...

  10. Point of View From a Dialysis Patient-No, It Is Not Me

    Tish88 replied to NDXUFan's topic in Dialysis, Renal, Urology

    "I also intend using a digital recorder for all my clinic visits now as well." What state is the patient from? It is my understanding that there are laws in many states that make this action...

  11. Recommended Blood Flow thro Fistula Needles

    Tish88 replied to puddletown's topic in Dialysis, Renal, Urology

    @ rogue-maverick It would be interesting to know what this patient's arterial pressures was reading on the machine. I am sure they were greater than -250 mmHg with a 17G needle at 400 QB. I just...

  12. Recommended Blood Flow thro Fistula Needles

    Tish88 replied to puddletown's topic in Dialysis, Renal, Urology

    Recommended: BLOOD FLOW RATE VS. NEEDLE GAUGE 300 – 350 ml/min 16-gauge > 350 - 450 ml/min 15-gauge > 450 ml/min 14-gauge How many of you out there are using 14 gauge...

  13. Is it so bad?

    Tish88 replied to osdbmom's topic in Dialysis, Renal, Urology

    Monster.com is used by the large dialysis companies. These would be DaVita, Fresenius, Dialysis Clinic inc just to name a few. You can also check out their websites for job postings. I personally...

  14. Is it so bad?

    Tish88 replied to osdbmom's topic in Dialysis, Renal, Urology

    I love dialysis and the renal patients. You will see many posters on here that complain, but there are those out there like me that has been involved with dialysis for 25+ yrs and love it. Many say...

  15. Few questions

    Tish88 replied to MJB2010's topic in Dialysis, Renal, Urology

    I have a daughter in college right now and a son ready to start, so I don't know if I can handle 3 tuition bills at once. Plus, at my current position, I make a lot more than the nurse practitioners...

  16. Few questions

    Tish88 replied to MJB2010's topic in Dialysis, Renal, Urology

    No I am not an APN, but I have been in dialysis for 25+ years in acutes, chronic, transplant and access management. Prior to going into dialysis my background was in Trauma ICU. I have been...

  17. Few questions

    Tish88 replied to MJB2010's topic in Dialysis, Renal, Urology

    And just think, if it wasn't for the nurses in the clinics where you round in giving you the "heads up" and report on issues going on with the patients, it would take you longer than 15 minutes per...

  18. Few questions

    Tish88 replied to MJB2010's topic in Dialysis, Renal, Urology

    CMS under the new conditions of coverage of 2008 only require to have 1 RN "in the facility". "We have clarified the RN presence requirement by modifying 494.180(b)(2)(i), to require a registered...

  19. How to get out of dialysis nursing?

    Tish88 replied to Marisette's topic in Dialysis, Renal, Urology

    I would agree that a transplant coordinator is not a less stressful job, but it is an alternative for someone who has been in dialysis for a long time since they know the ins and outs of a renal...

  20. low heart rate during dialysis

    Tish88 replied to celle507's topic in Dialysis, Renal, Urology

    Did you notify the patients nephrologist about the low heart rate? I have seen few patients who have clotted off their AV fistulas and AV grafts because of being on metoprolol and having...

  21. going rate of pay for dialysis nurses

    Tish88 replied to aellisrn's topic in Dialysis, Renal, Urology

    In the Northeast, my nurses are making $36 - $38+/hr. See there is a major difference in regions of the United

  22. How to get out of dialysis nursing?

    Tish88 replied to Marisette's topic in Dialysis, Renal, Urology

    How about becoming a transplant coordinator or utilization review nurse for an insurance

  23. physical demands?

    Tish88 replied to bonquilt's topic in Dialysis, Renal, Urology

    I would not consider out pt dialysis less physical demanding than the OR. Plan to be on your feet from about 10-14+ hours a day and constantly moving. There is a lot of bending too. I do a lot of...

  24. going rate of pay for dialysis nurses

    Tish88 replied to aellisrn's topic in Dialysis, Renal, Urology

    Rates from state to state can range from $10-$20 per hour difference, so regions would make a difference to determine amounts. Also, pay rates between chronic HD nurses and acute HD nurses

  25. Does your company provide translators?

    Tish88 replied to MJB2010's topic in Dialysis, Renal, Urology

    We use the "Language Line" and for our deaf patient, we use a write on/wipe off